Complex Trauma

The new diagnosis of Complex Post Traumatic Stress Disorder presents diagnostic and treatment challenges that need to be grappled with, since, in a troubled world, it is increasingly important to understand the impact and aftermath of traumatic experiences and, crucially, how to work with those affected by them. In Complex Trauma, Joanne Stubley and Linda Young have assembled a fascinating range of approaches in order to explore the questions of understanding and intervention. They detail the relevance of an applied psychoanalytic approach, both in the Tavistock Trauma Service and, more broadly, in illuminating understanding of traumatized individuals. The book includes chapters related to the impact of trauma on the body, as well as on the mind, incorporating neurobiological and attachment theory to develop ideas on the impact and aftermath of complex trauma. A number of specialist areas of trauma work are covered within this volume, including work with adolescents, with refugees and asylum seekers, with military veterans, and with survivors of child sexual abuse. The editors bring together chapters that will be of interest to those working with traumatized individuals in a variety of settings and using different modalities. The central importance of relationships, as understood within the psychoanalytic model, is depicted throughout as being at the heart of understanding and working with traumatic experience.

Joanne Stubley is a Consultant Medical Psychotherapist and Psychoanalyst, and lead clinician in the Tavistock Trauma Service since 2008. She has written widely and teaches both nationally and internationally on complex trauma. While continuing to develop a multi-modal, phase-based Trauma Service in the NHS that is innovative and trauma-informed, she sees the relational understanding offered by psychoanalysis as key to the work. Linda Young is a Consultant Clinical Psychologist and Psychoanalyst with over 30 years of clinical and teaching experience. She has been part of the Tavistock Trauma Service since 1990, including co-designing, organizing, and leading the one-year part-time course, Understanding Trauma. In addition to working within the field of trauma, a particular area of expertise is working with adolescents and young adults, in the Tavistock Adolescent and Young Adult Service.

1. Complex trauma: the initial consultation 2. The Tavistock Trauma Service 3. Complex trauma: working with other modalities within a psychoanalytic frame 4. The body as the new royal road to the unconscious 5. Working with traumatised adolescents: a framework for intervention 6. Designing and working in a service for women with historical child sexual abuse 7. Relational trauma and oppression: clinical work with young men who were groomed and sexually abused as children 8. Helping the heroes: psychoanalytic work with military veterans 9. Bridging the gap: developing a thinking space for refugees 10. Between hope and horror: complex trauma in refugees and asylum seekers 11. The game of football: psychoanalytical reflections on love, hope, and resilience 12. Therapeutic yoga and psychotherapy for facilitating post-traumatic growth 13. Trauma and the body: a psychoanalytic reading of Almodovar's The Skin I Live In 14. Writing trauma: literary representations of traumatic experience 15. Complex trauma in a time of crisis 16. Endings in the work: with patients with complex trauma

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